- Centene Corporation (New Port Richey, FL)
- …performance + Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures,… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality… more
- Centene Corporation (Orlando, FL)
- …performance + Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures,… more
- ChenMed (Delray Beach, FL)
- …serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care . ChenMed is changing lives for the people we serve and the ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...great people to join our team. The Center Clinical Manager (CCM) is an active leadership role responsible for… more
- Evolent (Tallahassee, FL)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... results, and collaborating with others. **Collaboration Opportunities:** + The Manager , Client Services oversees daily utilization management and directs...care of our members on behalf of our health plans and serves in a supporting role to… more
- ChenMed (Kenneth City, FL)
- …serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care . ChenMed is changing lives for the people we serve and the ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of… more
- Datavant (Tallahassee, FL)
- … health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a… more
- CenterWell (Orlando, FL)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... provider relationships across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements +… more
- Elevance Health (Tampa, FL)
- …and high-quality clinical documentation. + Chart reviews for closing HEDIS care opportunities to ensure practice and health plan success. + Liaison ... exists to enable individuals in home and community-based settings to maximize their health , independence, and quality of life through home- care and community… more
- CenterWell (Tampa, FL)
- …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... provider relationships across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements +… more